Vasectomy may also be a good alternative for a couple where the female may be unable to take the oral contraceptive pill. Before undertaking vasectomy, it is most important to discuss one complication: the failure rate of vasectomy as a contraceptive method.
Pregnancy occurs after a vasectomy in most cases because the couple had sexual intercourse before azoospermia (absent sperm) was documented by two separate semen samples. Despite the importance of verifying the lack of sperm in the semen after vasectomy, many patients do not comply with the instructions for semen analysis.
Also for patients who still desire children, vasectomy is not the choice of contraception. Unlike the past 50 years where only women took part in birth control, vasectomy is now being selected as more permanent form of birth control for many couples.
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